Bill Text: IA SF570 | 2021-2022 | 89th General Assembly | Introduced


Bill Title: A bill for an act establishing the sexual assault forensic examiner program.(Formerly SSB 1154.)

Spectrum: Committee Bill

Status: (Introduced - Dead) 2021-04-07 - Withdrawn. S.J. 835. [SF570 Detail]

Download: Iowa-2021-SF570-Introduced.html
Senate File 570 - Introduced SENATE FILE 570 BY COMMITTEE ON JUDICIARY (SUCCESSOR TO SSB 1154) (COMPANION TO HF 603 BY COMMITTEE ON JUDICIARY) A BILL FOR An Act establishing the sexual assault forensic examiner 1 program. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 1336SV (2) 89 as/rh
S.F. 570 Section 1. Section 13.31, Code 2021, is amended by adding 1 the following new subsection: 2 NEW SUBSECTION . 8. Administer the sexual assault forensic 3 examiner program established pursuant to section 915.46 for 4 training and providing technical assistance to sexual assault 5 examiners and sexual assault nurse examiners. 6 Sec. 2. NEW SECTION . 915.46 Sexual assault forensic 7 examiner program. 8 1. As used in this section: 9 a. “Federally qualified health center” means a facility as 10 defined in 42 U.S.C. §1396d(1)(2)(B) that provides primary care 11 or sexual health services. 12 b. “Medical forensic services” include but are not 13 limited to, taking a medical history, performing photographic 14 documentation, performing a physical examination, assessing a 15 patient for evidence collection, collection of evidence using 16 a sexual abuse evidence collection kit, assessing a patient 17 for drug-facilitated or alcohol-facilitated sexual assault, 18 providing an evaluation of and care for sexually transmitted 19 infection and HIV, pregnancy risk evaluation and care, and 20 discharge and follow-up health care planning. 21 c. “Pediatric treatment facility” means a treatment facility 22 that provides treatment relating to the development, care, and 23 diseases of infants, children, and adolescents and that meets 24 the accreditation requirements described in subsection 3. 25 d. “Sexual assault examiner” means a medical practitioner 26 who is trained to provide services that include but are not 27 limited to the following: 28 (1) Taking a medical history. 29 (2) Performing photographic documentation. 30 (3) Performing a physical examination. 31 (4) Assessing a patient for evidence collection. 32 (5) Collecting evidence using a sexual abuse evidence 33 collection kit. 34 (6) Assessing a patient for drug-facilitated or 35 -1- LSB 1336SV (2) 89 as/rh 1/ 8
S.F. 570 alcohol-facilitated sexual assault. 1 (7) Providing an evaluation of care for sexually 2 transmitted infection and HIV, pregnancy risk evaluation, and 3 care. 4 (8) Providing discharge follow-up health care planning. 5 e. “Sexual assault nurse examiner” means a registered nurse, 6 an advanced registered nurse practitioner, or an advanced 7 practice registered nurse, licensed pursuant to chapter 152 8 or 152E who has completed a sexual assault forensic examiner 9 program that meets the sexual assault nurse examiner education 10 guidelines established by the international association of 11 forensic nurses. 12 f. “Sexual assault survivor” means a person who seeks 13 medical forensic services in relation to injuries or trauma 14 resulting from a sexual assault. 15 g. “Treatment facility” means a hospital, clinic, or 16 pediatric treatment facility that provides medical forensic 17 services to sexual assault survivors who seek medical forensic 18 services for a sexual assault within seven days of a sexual 19 assault, or who have disclosed a past sexual assault by a 20 specific person. 21 2. A sexual assault forensic examiner program is 22 established within the department of justice. The sexual 23 assault forensic examiner program shall maintain a list of 24 sexual assault examiners and sexual assault nurse examiners who 25 have completed didactic and clinical training approved by the 26 department of justice and consistent with the sexual assault 27 forensic examiner education guidelines established by the 28 international association of forensic nurses. 29 3. In order to qualify as a treatment facility under 30 this section, a pediatric treatment facility shall meet 31 the accreditation standards for children’s advocacy centers 32 adopted by the national children’s alliance including any 33 of the following medical provider eligibility or training 34 requirements: 35 -2- LSB 1336SV (2) 89 as/rh 2/ 8
S.F. 570 a. Child abuse pediatric sub-board eligibility or 1 certification. 2 b. A minimum of sixteen hours of formal didactic training in 3 the medical evaluation of child sexual abuse for a physician 4 without board certification or board eligibility in child 5 abuse pediatrics, an advanced practice registered nurse, or a 6 physician assistant. 7 c. A minimum of forty hours of coursework specific to 8 the medical evaluation of child sexual abuse followed by a 9 competency-based clinical preceptorship. 10 d. A pediatric treatment facility shall not exclude the 11 presence of or interfere with the activities of a victim 12 counselor as defined in section 915.20A. 13 4. a. By July 1, 2022, the sexual assault forensic 14 examiner program shall develop and make available to treatment 15 facilities two hours of online sexual assault training for 16 sexual assault examiners and sexual assault nurse examiners. 17 Notwithstanding any other law regarding ongoing licensure 18 requirements, such training shall apply toward the continuing 19 medical education and continuing nursing education credits 20 for physicians, physician assistants, registered nurses, 21 advanced registered nurse practitioners, and advanced practice 22 registered nurses. 23 b. The sexual assault forensic examiner program shall 24 provide didactic and clinical training opportunities consistent 25 with the sexual assault forensic examiner education guidelines 26 established by the international association of forensic 27 nurses, in collaboration with the Iowa department of public 28 health and the Iowa coalition against sexual assault, in 29 sufficient numbers and geographical locations across the state 30 to assist treatment facilities with training sexual assault 31 examiners and sexual assault nurse examiners. 32 c. Sexual assault training provided under this subsection 33 may be provided in person or online and shall include but is 34 not limited to information concerning all of the following: 35 -3- LSB 1336SV (2) 89 as/rh 3/ 8
S.F. 570 (1) The provision of medical forensic services. 1 (2) The use of a sexual abuse evidence collection kit. 2 (3) Sexual assault epidemiology, the neurobiology of 3 trauma, drug-facilitated sexual assault, child sexual abuse, 4 and Iowa sexual assault-related laws. 5 (4) The treatment facility’s sexual assault-related 6 policies and procedures. 7 5. The sexual assault forensic examiner program, in 8 collaboration with qualified medical providers, the Iowa 9 department of public health, and the Iowa coalition against 10 sexual assault, shall create uniform materials that all 11 treatment facilities and federally qualified health centers 12 are required to provide to patients and non-offending parents 13 or legal guardians, if applicable, regarding medical forensic 14 examination procedures, laws regarding consent relating to 15 medical forensic services, and the benefits and risks of 16 evidence collection, including recommended time frames for 17 evidence collection pursuant to evidence-based research. 18 These materials shall be made available on the department 19 of justice’s internet site to all treatment facilities and 20 federally qualified health centers. 21 6. The sexual assault forensic examiner program, in 22 collaboration with qualified medical providers, the Iowa 23 department of public health, and the Iowa coalition against 24 sexual assault, shall create and update statewide sexual 25 assault examiner and sexual assault nurse examiner protocols, 26 shall provide technical assistance upon request to health care 27 professionals, and shall provide expertise on best practices to 28 health care professionals relating to sexual assault forensic 29 examinations. 30 7. Advisory committee. 31 a. The department of justice shall establish an advisory 32 committee to support the sexual assault forensic examiner 33 program implemented in accordance with this section. The 34 duties of the committee shall include but are not limited to 35 -4- LSB 1336SV (2) 89 as/rh 4/ 8
S.F. 570 the following: 1 (1) Advising the department of justice regarding the 2 training programs developed for the sexual assault forensic 3 examiner program. 4 (2) Reviewing the implementation and effectiveness of the 5 sexual assault forensic examiner program. 6 (3) Recommending to the department of justice changes in 7 legislation and administrative rules concerning the sexual 8 assault forensic examiner program. 9 b. Members of the advisory committee shall include staff 10 members of the department of justice managing the sexual 11 assault forensic examiner program; representatives from the 12 department of public health as determined by the director to 13 be appropriate, the Iowa coalition against sexual assault, the 14 board of nursing, and other constituencies as determined by 15 the department of justice with an interest in sexual assault 16 forensic examinations; and the hospital medical staff person 17 involved with emergency services pursuant to section 915.82. 18 Sec. 3. Section 915.94, Code 2021, is amended to read as 19 follows: 20 915.94 Victim compensation fund. 21 A victim compensation fund is established as a separate fund 22 in the state treasury. Moneys deposited in the fund shall 23 be administered by the department and dedicated to and used 24 for the purposes of section 915.41 and this subchapter . In 25 addition, the department may use moneys from the fund for the 26 purpose of the department’s prosecutor-based victim service 27 coordination, including the duties defined in sections 910.3 28 and 910.6 and this chapter , to support the sexual assault 29 forensic examiner program established in section 915.46, for 30 the award of funds to programs that provide services and 31 support to victims of domestic abuse as provided in chapter 32 236 , to victims of sexual abuse as provided in chapter 236A , 33 to victims under section 710A.2 , for reimbursement to the 34 Iowa law enforcement academy for domestic abuse and human 35 -5- LSB 1336SV (2) 89 as/rh 5/ 8
S.F. 570 trafficking training, and for the support of an automated 1 victim notification system established in section 915.10A . 2 For each fiscal year, the department may also use up to three 3 hundred thousand dollars from the fund to provide training 4 for victim service providers, to provide training for related 5 professionals concerning victim service programming, and 6 to provide training concerning homicide, domestic assault, 7 sexual assault, stalking, harassment, and human trafficking as 8 required by section 710A.6 . Notwithstanding section 8.33 , any 9 balance in the fund on June 30 of any fiscal year shall not 10 revert to the general fund of the state. 11 EXPLANATION 12 The inclusion of this explanation does not constitute agreement with 13 the explanation’s substance by the members of the general assembly. 14 This bill establishes the sexual assault forensic examiner 15 program. 16 The bill provides that the victim assistance program 17 established in the department of justice shall administer 18 the sexual assault forensic examiner program established in 19 the bill (Code section 915.46) for training, certifying, and 20 providing technical assistance to sexual assault forensic 21 examiners and sexual assault nurse examiners. The bill 22 provides definitions including definitions of “sexual assault 23 examiner”, “sexual assault nurse examiner”, “treatment 24 facility”, and “pediatric treatment facility”. 25 The bill provides that a sexual assault forensic examiner 26 program is established within the department of justice. The 27 sexual assault forensic examiner program shall maintain a list 28 of sexual assault examiners and sexual assault nurse examiners 29 who have completed certain training. By July 1, 2022, the 30 sexual assault forensic examiner program shall develop and 31 make available to treatment facilities two hours of online 32 sexual assault training for sexual assault examiners and 33 sexual assault nurse examiners. Notwithstanding any other law 34 regarding ongoing licensure requirements, such training shall 35 -6- LSB 1336SV (2) 89 as/rh 6/ 8
S.F. 570 apply toward the continuing medical education and continuing 1 nursing education credits for physicians, physician assistants, 2 registered nurses, advanced registered nurse practitioners, and 3 advanced practice registered nurses. 4 The bill provides that sexual assault examiner training, 5 including didactic and clinical training, may be provided 6 in person or online and shall include but is not limited to 7 information concerning the provision of medical forensic 8 services; the use of a sexual abuse evidence collection kit; 9 sexual assault epidemiology, the neurobiology of trauma, 10 drug-facilitated sexual assault, child sexual abuse, and Iowa 11 sexual assault-related laws; and the treatment facility’s 12 sexual assault-related policies and procedures. 13 The bill provides that the sexual assault forensic examiner 14 program, in collaboration with qualified medical providers, 15 the Iowa department of public health, and the Iowa coalition 16 against sexual assault, shall create uniform materials that all 17 treatment facilities and federally qualified health centers 18 are required to provide to patients and non-offending parents 19 or legal guardians, if applicable, regarding medical forensic 20 examination procedures, laws regarding consent relating to 21 medical forensic services, and the benefits and risks of 22 evidence collection including recommended time frames for 23 evidence collection pursuant to evidence-based research. 24 The materials shall be made available on the department 25 of justice’s internet site to all treatment facilities and 26 federally qualified health centers. The sexual assault 27 forensic examiner program, in collaboration with qualified 28 medical providers, the Iowa department of public health, and 29 the Iowa coalition against sexual assault, shall create and 30 update statewide sexual assault examiner and sexual assault 31 nurse examiner protocols, shall provide technical assistance 32 upon request to health care professionals, and shall provide 33 expertise on best practices to health care professionals 34 relating to sexual assault forensic examinations. 35 -7- LSB 1336SV (2) 89 as/rh 7/ 8
S.F. 570 The bill provides that the department of justice shall 1 establish an advisory committee to support the sexual assault 2 forensic examiner program. The duties of the committee shall 3 include but are not limited to the following: advising the 4 department of justice regarding the training programs developed 5 for the sexual assault forensic examiner program; reviewing the 6 implementation and effectiveness of the sexual assault forensic 7 examiner program; and recommending to the department of justice 8 changes in legislation and administrative rules concerning the 9 sexual assault forensic examiner program. The bill specifies 10 the members of the advisory committee. 11 The bill provides that the department may use moneys from the 12 victim compensation fund to support the sexual assault forensic 13 examiner program. 14 -8- LSB 1336SV (2) 89 as/rh 8/ 8
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